What are the Symptoms of Twins in First Trimester?

What are the Symptoms of Twins in First Trimester?

During the first trimester of pregnancy, symptoms of carrying twins (or multiple gestation) may differ from those of a singleton pregnancy. Common signs and symptoms of twins during the first trimester include:

  1. Severe Morning Sickness (Hyperemesis Gravidarum): Intense nausea and vomiting beyond the typical morning sickness experienced in singleton pregnancies.
  2. Higher hCG Levels: Elevated levels of human chorionic gonadotropin (hCG), a hormone produced during pregnancy, which may be detected through a blood test.
  3. Rapid Weight Gain: Quicker and more noticeable weight gain compared to a singleton pregnancy due to the additional weight of carrying multiple fetuses.
  4. Larger Abdominal Size: Abdominal bloating and a larger uterus size compared to a singleton pregnancy at the same gestational age.
  5. Fatigue and Increased Exhaustion: Greater fatigue and exhaustion due to the increased demands on the body from carrying more than one fetus.
  6. Frequent Urination: Increased pressure on the bladder from a larger uterus, causing more frequent urination.
  7. Early Fetal Movement Sensations: Feeling fetal movements earlier than in a singleton pregnancy, usually due to more than one fetus moving.
  8. Early Detection of Fetal Heartbeats: Identifying multiple fetal heartbeats during early ultrasounds, typically performed in the first trimester.
  9. Elevated Levels of Pregnancy Hormones: Higher levels of certain pregnancy hormones like progesterone and estrogen.
  10. Abnormally High Levels of Certain Proteins: Elevated levels of specific proteins, such as alpha-fetoprotein, associated with a multiple pregnancy.

It’s important to note that these symptoms are not definitive proof of carrying twins, and an ultrasound is the most accurate way to confirm a multiple pregnancy. If you suspect you are carrying twins or have concerns about your pregnancy, it’s essential to consult with a healthcare professional for proper evaluation and prenatal care.

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